Individual
DR. CARLY WALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
899 SKOKIE BLVD, SUITE 204, NORTHBROOK, IL 60062-4019
(847) 559-3240
Mailing address
899 SKOKIE BLVD, SUITE 204, NORTHBROOK, IL 60062-4019
(847) 559-3240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009161
IL
Other
Enumeration date
07/27/2010
Last updated
02/16/2016
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